19D0920648 CLIA NUMBER - RUSTON LINCOLN AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 19D0920648
  • Facility Name: RUSTON LINCOLN AMBULANCE SERVICE
  • Facility Address: 920 EAST GEORGIA AVENUE
    RUSTON, LA
    ZIP 71270
  • Facility Phone: 318 251-8626
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID L. WELLS
  • NPI Number: 1114007663
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D0920648
LAB Type Ambulance
Facility Name RUSTON LINCOLN AMBULANCE SERVICE
Street 920 EAST GEORGIA AVENUE
City RUSTON
State LA
ZIP 71270
Phone 318 251-8626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Ambulance
Lab Director DAVID L. WELLS

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This page was last updated on: 9/29/2025